The testicles are the "factory" for the production of sperm and male hormones, and its importance to the human body is self-evident. Over the years, due to traffic accidents, industrial trauma, sports injuries, environmental pollution, fights, sexual behavior and other factors, the number of male testicular injuries has increased, and people have received widespread attention.
<h1 class="pgc-h-arrow-right" data-track="2" > testicular poisoning</h1>
Not long ago, Nanchang City a hospital occupational ward admitted to such a patient, in the past six months he often has dizziness, fatigue, olfactory disorders, low back and limb pain and other symptoms, as well as penile erection difficulties, impotence and other manifestations, doctors understand his medical history, made relevant examinations, diagnosed as chronic cadmium poisoning. Further examination revealed an increase in cadmium in his testicular tissue, mild fibrotic hyperplasia in his testicles, and a marked decrease in androgen levels in his urine.
This is a typical case of testicular poisoning. Over the past few years, due to the poor labor protection measures of some factories and mining enterprises, the environmental pollution in some areas has been increasing, resulting in a continuous increase in similar patients.
In addition to cadmium, cases of heavy metal poisoning such as lead, mercury, and manganese have been reported. Lead acts directly on the testicles, the core organs of the male reproductive system. Damage to any of the testicles' ability to produce sperm and synthesize male hormones can affect male reproductive function. Lead enters the semen through the blood-testicular barrier and has a certain accumulation effect, and can also directly poison the testicles by blocking the regulatory function of the hypothalamic-pituitary-testicular axis, thereby affecting the secretion of male hormones.
When some people develop problems such as erectile dysfunction, it is difficult to think of a problem with testicular poisoning. Clinicians only consider this question when asking about a patient's medical history, in combination with other tests that reveal problems.
In life, common toys, paint painted on floors and walls, as well as manganese flue gas pollution during indoor welding, as well as cadmium-containing industrial wastewater pollution of farmland, so that the cadmium content in food crops and drinking water exceeds the standard, which may cause chronic testicular poisoning. It deserves high attention.
<h1 class="pgc-h-arrow-right" data-track="17" > testicular trauma</h1>
Damage to men's external genitalia, such as the penis and scrotum, is more likely to be found, and more can be treated in time. The damage to the testicles is not easy to be detected, and even experienced medical personnel are prone to misdiagnosis, causing adverse consequences to patients.
Trauma to the penis and scrotum is mostly open injury, that is, a wound with a crack in the appearance or obvious traces of trauma. The testicles are hidden in the scrotum, and most of them are more common with closed injuries, and the judgment of the degree of damage becomes confusing due to hematoma and pain, and it is not easy to make accurate estimates. In some patients, after testicular injury, it can be covered by pain from scrotal and perineal trauma in the early stages, and although the infection of the testicles is severe in the late stage, the pain is reduced and is ignored.
There was once a patient who had a significant hematoma in the scrotum area due to a fight, and the doctor only paid attention to the superficial phenomenon and ignored the possibility of testicular injury. The patient was not tested further. Half a month later, the patient's scrotum area was still unwell, and during the surgical exploration, it was found that the bilateral testicles had been seriously infected and necrotic, and the testicles had to be removed. It is regrettable that a flesh-and-blood young man has lost his fertility in this way.
<h1 class="pgc-h-arrow-right" data-track="18" > testicular torsion</h1>
Testicular torsion is one of the emergency departments of urology. Testicular torsion twists the blood vessels within the spermatic cord, often leading to disorders of blood circulation within the testicles, causing testicular ischemia or necrosis.
Testicular torsion can occur at any age, with newborns and adolescents most. The onset of the disease is acute, which is an important feature of the disease. Many patients occur in a state of quiet sleep. This is because the posture often changes during sleep, the testicles are constantly squeezed by the legs, and the position of the testicles is prone to change. In addition, sudden changes in position during activity, cold stimulation that causes the credicine muscles to spasm, can occur in case of a sudden blow to the perineum. Certain congenital factors, such as testicular dysplasia, hypoplasia, excessive spermatic cord, and epididymis attached to one side of the testicle, may also be important precipitating factors.
After the testicular torsion, there is much severe pain in the scrotum area, but some people do not show pain in the scrotum area due to the reflex of the pelvic nerve and the lower abdominal nerve, but mainly in the left and right lower abdomen. Therefore, many patients are often mistaken for "acute appendicitis", "urinary tract stones", "incarcerated hernias" and other diseases during the initial diagnosis. In a group of 11 patients with testicular torsion in China, 6 cases were misdiagnosed, which shows that the misdiagnosis rate of this disease is very high.
At present, B-ultrasound detection, scrotum puncture, isotopic testicular scans, etc., can make an accurate diagnosis of testicular trauma. Once diagnosed, it can be treated conservatively under the guidance of a doctor and, if necessary, surgical treatment. #男性健康 #